Epicardial radiofrequency catheter ablation of Brugada syndrome with electrical storm during ventricular fibrillation: A case report.

Content Provider	Europe PMC
Author	Jiang, Shufen Yin, Xiaomeng Dong, Chang Xia, Yunlong Liu, Jinqiu
Editor	Yue-Chun., Li
Copyright Year	2017
Abstract	AbstractRationale:Brugada syndrome (BrS) is characterized by ST segment elevation at the J point ≥2 mm in the right precordial electrocardiogram (ECG) leads, in the absence of structural heart disease, electrolyte disturbances, or ischemia. It is a well-described cause of sudden death in young patients, especially in the age of between 30 and 40 years old. Here, we reported an unusual case of electrical storm (ES) of ventricular fibrillation (VF) caused by BrS with complete right bundle-branch block (CRBBB) in a 75-year-old male patient.Patient concerns:A 75-year-old male patient survived sudden cardiac death caused by a ventricular ES. He presented with the cove-shaped ST elevation of 2 mm in lead V1 with typical CRBBB and lacked structural cardiomyopathy and coronary heart disease. The patient suffered ventricular ES again, although the implantable cardioverter defibrillator(ICD) had implanted.Diagnoses:Brugada syndrome with complete right bundle-branch block.Interventions:Implantable cardioverter defibrillator (ICD) implantation was performed. But this therapy could not prevent the recurrence of malignant arrhythmia. Finally, the ES was treated successfully using radiofrequency catheter ablation (RFCA) at the area of the free wall of the right ventricular outflow tract (RVOT) epicardium.Outcomes:During 7 months of follow-up, the patient was asymptomatic and free of arrhythmic events.Lessons:As far as we know, the patient is the oldest patient reported to have BrS. RFCA offers an alternative therapy for patients with BrS, especially when ICD shocks are encountered.
ISSN	00257974
Journal	Medicine
Volume Number	96
PubMed Central reference number	PMC5704848
Issue Number	46
PubMed reference number	29145303
e-ISSN	15365964
DOI	10.1097/md.0000000000008688
Language	English
Publisher	Wolters Kluwer Health
Publisher Date	2017-11-01
Access Restriction	Open
Rights License	This is an open access article distributed under the terms of the Creative Commons Attribution-Non Commercial License 4.0 (CCBY-NC), where it is permissible to download, share, remix, transform, and buildup the work provided it is properly cited. The work cannot be used commercially without permission from the journal. http://creativecommons.org/licenses/by-nc/4.0 Copyright © 2017 the Author(s). Published by Wolters Kluwer Health, Inc.
Subject Keyword	Brugada syndrome complete right bundle-branch block implantable cardioverter defibrillator radiofrequency catheter ablation ventricular fibrillation
Content Type	Text
Resource Type	Article
Subject	Medicine